Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $8,912.51	Facility		$1,202.26	$4,265.80	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $5,370.32	Professional		$2,137.96	$2,630.27	$5,370.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $10,232.93 / $54,954.09	Facility		$7,585.78	$10,232.93	$54,954.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $5,128.61	Professional		$2,344.23	$3,548.13	$5,128.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,168.69 / $9,549.93	Professional		$2,630.27	$4,168.69	$9,549.93
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,162.28 / $3,467.37	Professional		$2,884.03	$3,162.28	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,511.89	Professional		$32.36	$33.11	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,025.60 / $13,803.84	Facility		$2,041.74	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $5,370.32	Professional		$2,238.72	$3,019.95	$5,370.32